Individual
MS. TERESA K RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
813 N WASHINGTON AVE, ROSWELL, NM 88201-3941
(575) 622-2606
Mailing address
813 N WASHINGTON AVE, ROSWELL, NM 88201-3941
(575) 622-2606
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-02191
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86209051
—
NM
Enumeration date
04/16/2008
Last updated
02/21/2014
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